MICHELLE BASTARACHE NP
NPI 1053912790
Nurse Practitioner - Family in Las Vegas, NV
About Michelle Bastarache Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE BASTARACHE NP (NPI 1053912790) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (831764) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michelle Bastarache Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89148 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAS VEGAS, NV 89148
LAS VEGAS, NV 89148
LAS VEGAS, NV 89148
LAS VEGAS, NV 89148
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Michelle Bastarache's NPI number?
The NPI number for Michelle Bastarache is 1053912790. It was assigned to this individual provider in the NPPES registry on November 7, 2020.
Where is Michelle Bastarache located?
Michelle Bastarache practices at 6460 Medical Center St, Las Vegas, NV 89148. The listed phone number is (702) 255-6647.
What is Michelle Bastarache's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Michelle Bastarache enrolled in Medicare?
Yes. Michelle Bastarache is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Michelle Bastarache was last updated on November 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Michelle Bastarache, NP · NPI 1053912790
Family physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since November 7, 2020.
## Identity
- **NPI:** 1053912790 (Entity type: Individual)
- **Enumerated:** November 7, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 831764 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 6460 MEDICAL CENTER ST, Las Vegas, NV 89148-2406
- **Phone:** (702) 255-6647
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 7, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1053912790) · Data from the CMS NPPES public registry.